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1295974582
JENNIFER LYNN JOHNSON
BLOOMINGTON, IL
NPI
1295974582
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Former Name
JENNIFER LYNN CWIAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.014632)
Enumeration Date
2009-02-11
Last Update Date
2012-02-21
Business Address
Mrs. JENNIFER LYNN JOHNSON MSW, LCSW
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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Mailing Address
Mrs. JENNIFER LYNN JOHNSON MSW, LCSW
1168 HERON DR
NORMAL, IL 61761-9485
Phone number: 630-253-8719
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